Provider Type Icon

BEHAVIORAL HEALTH OF ORMOND BEACH NPI 1427247550


NPI Profile

NPI: 1427247550
Provider Name: BEHAVIORAL HEALTH OF ORMOND BEACH
Classification:Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
533 N NOVA RD STE 203
ORMOND BEACH, FL
ZIP 32174
Get Directions

Phone: (386) 672-7470

BEHAVIORAL HEALTH OF ORMOND BEACH is a psychiatric/mental health nurse practitioner in Ormond Beach, FL. BEHAVIORAL HEALTH OF ORMOND BEACH NPI is 1427247550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

533 N NOVA RD STE 203
ORMOND BEACH, FL
ZIP 32174-422
Phone: (386) 672-7470
Fax: (386) 672-0771

The provider's authorized official is Sandra L Brooks .
The authorized official title is Owner and has the following contact phone number (386) 672-7470.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 11/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y4189MEDICARE PINFLORIDA
2S02080MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/12/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.